EL-05-162tir/a;t
MIAMI SHORES VILLAGE "4
BUILDING DEPARTMENT
305- 795 -2204
Buil ing Inspecti R ues 11
Date
Type lnsp' n c - rr is f `C4 8- wow
Permit No.
Name
El CAS I ( 2
Address _I ACC) C ' " E q cs�
Company 1 c \ H
Phone # , b c3
' 41111.11 5, 11.11 /
Inspection Date `
Approved
Correction ❑ / 77.Gy
Re- Insp'n Fee ❑
Leaz
Protect Address
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
1310 101 Street
Miami Shores, FL
1132050230010
Block: Lot:
RICARDO/ ISABELLE ROMAN
Owner Information
Address
RICARDO/ ISABELLE ROMAN
1310 NE 101 ST
MIAMI SHORES FL 33138 -2611
(305)757 -5446 (305)467 -5129
Contractor(s)
FLORIDA HOME IMPROVEMENT (954)792 -4415
Phone Cell Phone
Type of Work: WINDOWS
No of Openings: 10
Additional Info: IMPACT
Classification: Residential
Fees Due
CCF
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$10.20
$3.40
$200.00
$12.00
$13.80
$239.20
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Expiration: 1 1
Parcel Number
Phone
Pay Date Pay Type
Invoice # WS-4 -10 -37460
04/06/2010 Check #: 4297
04/01/2010 Check #: 4201
Amt Paid Amt Due
$ 189.20 $ 50.00
$ 50.00 $ 0.00
Applicant
April 06, 2010
Date
Cell
Valuation: $ 17,000.00
Total Sq Feet: 0
Available Inspections:
Inspection Type:
Window Door Attachment
Final Shutters
Final
Shutter Attachment
i
April 06, 2010 1
Type Insp'n
Permit No.
Name
MIAMI SHORES VILLAGE
BVILDING DEPARTMENT
305-795-2204
ing Inspectirincrs
Date — 7 r \ A
Ci_A C 1 1*.
QS-
Address 24(0 N 6 q 2
Company P H
Phone # cr? 24
Inspection Date
Approved
Correction
Re-Insp'n Fee
r r
/
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building S1t1W Plumbing
Owner's Name (Fee Simple Titleholder) J - �45 Phone #
Owner's � Address 2 A/
Cityfi 5h, State �� Zip
TenantlLessee Name Phone #
Job Address (where the work is being done) p`Z�(Q 9? ,'?-
City Miami Shores Village County Miami -Dade Zip J ' /J'?
Is Building Historically Designated YES NO
Contractor's Company Name - /14
Contractor's Address /�3c /1 /' /y?? ST
City /L4r,' J'r�,,, ,' State
Qualifier S
State Certificate or Registration No. /J /f 75 Certificate of Competency No.
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit $ / f1
Submittal Fee $_
Notary $' co
Scanning $ 5 l xD
Code Enforcement $
Total Fee Now Due $ CSC, 63
(Continued on opposite side)
Radon $ l
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
�a
Structural Plan Review. $
Zip
Phone #
4 AY • 9 225
Permit No. El 05- - 1 (02..
Master Permit No.
Mechanical Roofing
Phone # ( 3 ) 9 - 7 9— iq z?
Square Footage Of Work:
Type of Work: ❑Addition alteration New p� ❑ Repair/Replace ❑ Demolition
Describe Work: See vie , �p� /
Permit Fee $ / ff,eP 0 CCF $ 3 '(dLJ CO /CC
Training/Education Fee$ 1 Technology F $ 4 o
fC
Zoning Bond $